Skip to main content

         This documentation site is for previous versions. Visit our new documentation site for current releases.      

External information

Updated on June 16, 2021

The Pega Smart Claims Engine (SCE) for Healthcare 8.7 release enhanced third-party integration capabilities to request, receive, store, and send standard and supplemental claim information from an external system.

Using SCE’s GET, POST and PUT claims APIs, this information can be used for claim processing, workflow management, reporting and claim resolution.

Out of the box, the system supports intake of supplemental data such as system (system identifier), record type, code, field type, value, and code reason. This capability allows information such as codes representing errors, warnings, and overrides to be sent to SCE (from an external system). External information may be captured at the header and/or the line level.

Have a question? Get answers now.

Visit the Support Center to ask questions, engage in discussions, share ideas, and help others.

Did you find this content helpful?

Want to help us improve this content?

We'd prefer it if you saw us at our best. is not optimized for Internet Explorer. For the optimal experience, please use:

Close Deprecation Notice
Contact us